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Bettiejoe Davis
NPI 1386020048 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5011 Floral Park Rd
Brandywine, MD 20613 - Phone
- (240) 396-7662
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Also registered as
- 310400000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland